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Individual

TAMMY L COSTIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, CPNP-AC

Contact information

Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(888) 226-4343
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2358

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
AP141171
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
32097
TN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP1411171
TX

Other

Enumeration date
04/10/2019
Last updated
10/23/2025
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